WEEKLY EPIDEMIOLOGICAL RECORD, No. 3 5,27 AUGUST 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N* 35,27 AOÛT 1993

In the Philippines, the number of cases reported de­ Aux Philippines, le nombre de cas notifiés est tombé de 155 000 creased from 155 000 in 1988 to 86000 in 1991, a reduc­ en 1988 à 86 000 en 1991, soit une baisse de près de 50%. L’aug­ tion of almost 50%. Increased financial and logistic support mentation de l’appui financier et logistique des pouvoirs publics a from the government permitted wider coverage of residual permis d’étendre la couverture des pulvérisations résiduelles intra- house spraying and intensified case-finding activities con­ domiciliaires et d’intensifier les activités de dépistage, ce qui a tributing to the improvement of the situation. contribué à améliorer la siruanon. In Indonesia, surveillance activities are carried out in Java E n Indonésie, les activités de surveillance se limitent à Java et à and Bali only. The number of cases reported declined from Bali. Le nombre de cas signalés est passé de 26 000 en 1990 à 16 000 26 000 in 1990 to 16 000 in 1991. However, the proportion en 1991. Toutefois, la proportion des cas à falciparum, qui avait of falciparum cases, which had decreased from 46% in 1988 régressé de 46% en 1988 à 29% en 1990, est remontée à 49%. Les to 29% in 1990 rose to 49%. Malaria control activities in the activités de lutte antipaludique dans les autres îles sont limitées aux Outer Islands are limited to areas of socioeconomic impor­ zones présentant une certaine importance socio-économique et tance and include indoor residual insecticide spraying, ma- comprennent les pulvérisations d’insecticide à effet rémanent à lariometric surveys, and the provision of suppressive treat­ l’inténeur des habitations, les enquêtes paludométriques et le traite­ ment to clinical malaria cases at health centres. About 18% ment suppressif des cas cliniques dans les centres de santé. Environ of the blood specimens examined were found positive and 18% des échantillons sanguins examinés étaient positifs et 59 000 malaria cases were reported. 59 000 cas de paludisme ont été signalés. In M alaysia, malaria cases decreased from 65 000 in E n Malaisie, le nombre de cas de paludisme est tombé de 65 000 1989 to 39 000 in 1991. In the Peninsula, some nine-tenths en 1989 à 39 000 en 1991. Dans la péninsule, quelque neuf dixièmes of the population live in areas freed from malaria and the de la population vivent dans des zones libérées de paludisme, et la disease is endemic only in the hilly and less developed areas maladie n’est endémique que dans les zones vallonnées et moins of the centre, the north and north-eastern part of the Penin­ développées du centre, du nord, et du nord-est de la péninsule. En sula. In 1991, 9 900 cases were recorded (14 000 in 1990). 1991,9 900 cas ont été enregistrés (14 000 en 1990). Au Sarawak, la In Sarawak, transmission is limited to the border areas; from transmission se limite aux zones frontalières; de 1 200 cas en 1990, 1 200 cases in 1990, incidence increased to 2 100 in 1991. l’incidence est passée à 2 100 en 1991. Au Sabah, la situation a In Sabah, the situation continued to improve: 27 000 cases continué de s’améliorer: 27 000 cas ont été signalés en 1991 par reported in 1991 compared with 35 000 in 1990 and 48 000 rapport à 35 000 cas en 1990 et à 48 000 cas en 1989. in 1989. In Cambodia, malaria is the most important public health A u Cambodge, le paludisme est le principal problème de santé problem. There are about 115 000 microscopically con­ publique. Environ 115 000 cas sont confirmés à l’exam en m icros­ firmed cases per year, but it is estimated that more than copique chaque année, mais on estim e à plus de 500 000 le nom bre 500 000 clinical cases occur each year. Because of high annuel de cas cliniques. En raison du niveau élevé de résistance du levels of malaria resistance to drugs, poor drug supply, poor paludisme aux médicaments, de la médiocrité de l’approvisionne­ community awareness, few vector control measures and a ment en médicaments, du manque de sensibilisation de la commu­ fragile health infrastructure, malaria mortality is high, with nauté, de l’insuffisance des mesures antivectorielles et de la fragilité an estimated number of deaths between 5 000 and 10 000 de l’infrastructure sanitaire, la mortalité due au paludisme est éle­ p er year. vée, avec un nombre de décès estimé à 5 000-10 000 p ar an. In the Lao People’s Democratic Republic, Myanmar, Pap­ E n République démocratique populaire lao, au M yanm ar, en Pa­ ua New Guinea and Vanuatu, the malaria situation has not pouasie-Nouvelle-Guinée et à Vanuatu, la situation du paludisme n’a changed significantly during the past few years. pas changé sensiblement au cours de ces dernières années.

Europe, including Turkey and the former USSR Europe, y compris lo Turquie et r ex-URSS Malaria continues to be endemic (P. invax only) in the Le paludisme demeure endémique (P. vivax seulement) dans le sud- south-east and a few other foci in Turkey and in some small est et dans quelques autres foyers en Turquie et quelques petits foyers foci in Azerbaijan and Tadjikistan, In Turkey, the number of d e Y Azerbaïdjan et du Tadjikistan. E n Turquie, le nombre de cas de malaria cases reported declined continuously from 67 000 in paludisme signalés n’a cessé de baisser, passant de 67 000 en 1983 à 1983 to 8 700 in 1990. However, an increase to 12 000 8 700 en 1990. Toutefois, une augmentation a été signalée en 1991, cases has been reported in 1991. The majority of cases are le nombre de cas atteignant 12 000. La majorité des cas sont localisés from south-east Anatolia and the Adana area, the increase en Anatolie du sud-est et dans la région d’Adana, l’accroissement occurring principally in south-east Anatolia. A few small foci ayant été observé principalement en Anatolie du sud-est. Quelques continue to exist in other provinces. Some 8 000 imported petits foyers subsistent dans d’autres provinces. Quelque 8 000 cas cases of malaria were notified in Europe, but it is thought de paludisme importé ont été déclarés en Europe, mais on estime, that the actual number of imported cases is considerably compte tenu de la sous-notification, que le nombre réel de cas higher because of underreporting. importés est beaucoup plus élevé.

Infected areas as at 26 August 1993 Zones infectées au 26 août 1993 For aliéna used in compiling this list, see No. 10, p. 72 Les critères appliques poux la compilation de cede liste sont publies dans le N ° 10, p. 7 2 X - Newly reported areas X - Nouvelles zones signalées

Betafo S. Pref Ambositra S Préf Tanzania, United Rep. of Binonga Mumapio Plague • Peste Alakamisy-Ananvato Dismet Ambaromanna Dismet Tanzanie, Rép.-Unic de Can deal Mumapio Fanandruma S . P r e f Ambohimahazo Dismet Africa • Afrique Tanga Région Central Mumcipio Faratstho S Pref Ambovombe Centre Lushoto Dismet Conceiçào Mumcipio M adagascar Margakandnana S Pref And ma Dis met Tanga Dismet Fcira de Santana Mumcipio Antananarivo Province Miarmanvo S. Préf Anjoma N ’Ankona Dismet U ganda « O uganda Iraquara Mumcipio Ambohtdratruno S Préf Analavory Dismet Anjomâ Navona Dismet Irecè Mumcipio Western Région Antananartvo-Avaradrano S Préf Anosibc Ifanja Dismet Ankazoambo Dismet Itaberaba Mumcipio Nebbi Dismet Ambatalampy S Préf, Rentvohara S Pref. Ivato Dismet Jussara Mumcipio Anjosorobe S Préf Soavmandnana S Préf Ivony Dismet Z aïre • Zaïre Renrolàndia Mumcipio Antananarivo S . P r e f Ambatoasana Centre T alata-V ohimcna Dismet H aut Zaïre Province Riachâo do Jacuipe Mumcipio Antananarivo District Tsimanomandufy S Pref Tsarasaotra Dismet Itun Sub-Regun Antamfotsy S. Préf Senhor do Bonlim Mumapio Antstranana Province Fandrutna S. Préf Mahagi Administrative Zone Semnha Mumcipio Antsirabe I S, Pref A n d a p a S . P r é f Fiadanana Dismet A n tsira b e i l S P r é f Teofîlaadia Mumcipio Doany Dismet Fianarantsoa I S . P r é f America • Amérique Ambodwia District M aharxinjn District Paraiba State Fianarantsoa Province Bolivia - Bolivie Ambohitsimanova District Ambatofinandrohana S Pref Fianarantsoa II S . P r é f Araba Mumcipio Ampasarancty District Aznbondromisotra Dismet Andoharanomaitso Dismet La Pas Department Barra de S. Rasa M um apio Manandona Dismet Andrcüunbohitra District Fianarantsoa II Dismet Franz Tamayo Province Cuban Mumcipio Soarundranny Dismet Bevonotany Dismet Manadnana S. Préf Sud Yungas Province Ohvedos Mumcipio Tsarofar District Snnm)ii»«»«ana DlStTlCt Mahajanga Province Vulle Grande Province Queunadas Mumcipio Vinaninlrar^na DlSttlCt Ambohimahasoa S > P réf. Toamasma Province B razil • B résil Remigio Mumcipio Anvommamo S, Préf Manandroy District Moramanga S Préf Bahia State Soiânea Mumcipio

2 5 8 WEEKLY EPIDEMIOLOGICAL RECORD, Mo. 3 5,2 7 AUGUST 1993 • 8ELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N* 35/ 27 AOUT 1993

Peru • Pérou Ashanu Région Sotouboua District Cotopaxi Provmce Huanuco Department Cajamarca Department Central Region Vo Dismct El Oro Provmce lea Department Choia Province Upper East Region Yoto Dismct Esmcraldas Province Junm Department V o lta R e g io n Galapagos Provmce La Libertad Department Llama Dism et Uganda * Ouganda Guayas Provmce Lambayeque Department Miracosca District G uinea * G uinée Kasese District Tocmoche District Imbabura Provmce Lana Department Conakry Province Zaire • Zaire Loja Provmce Loreto Department San M iguel Provmce Forécanah Préfecture Nanchoc District H aut Zaïre Province Los Run Provmce M adré de Dios Department San Gregono District K enya Kivu Provmce M anabi Provmce Moquegua Department San Miguel District (Area not specified - Zone non Shaba Provmce Morona Provmce Pasco Department San Pablo Provmce précisée) Nopo Province Piura Department Zambia * Zambie Pastaza Provmce Puno Department San Louis District liberia • Libéria Putra Department Central Provmce Pichmcha Provmce San M artm Department Bong County Lusaka Ayabaca Provmce Sucumbios Province Tacna Department Momserrado County Copperbelt Provmce Canales District Tungurahua Provmce Tombes Department T -ngtina* District M alaw i Eastern Provmce Zamora-Ckmehtpe Provmce Ucayah Department Luapula Provmce Montero District Central Region El Salvador S u rin am e Paimas Dismet Lilongwe District Northern Provmce Southern Provmce Central Region Marmonne District Sapillica D ism et Southern Region M etropolitan Region Suyo District Z im babw e V enezuela M ali Occidental Region Huancabamba Provmce M antcaland Provmce Anzoategia State Kayes Region Oriental Region C de la Frontcra District M ashonaland Central Apure State Kayes Cercle Paracentral Region Canchaque Dismet M a sh o n a la n d E a s t Aragua State Huancabamba Dismet Kouhkoro Région French Guiana Barmas State Nara Cercle Mashonaland West Provmce Piura Provmce M asvtngo Provmce Guyane française - Carabobo State Las Tomas Dismet Mauritania • Mauritania M idlands Provmce D e lta A m a c u ro S ta te G u atem ala Federal District Nouakchott District Aha Verapaz Department i n R ég io n Guartco State Asia «Asie Americo* Amérique Baja Verapaz Department V ietN a m Hodh el Cbargut Argentina « Argentine Merida State Chonahenango Department M iranda State Gta-LatrCông Turn Province 2 e R ég io n Juj Provmce Cfuquimula Department Manages State L â m D o n g P ro vin ce H odh d Gharbi Mendoza Provmce E l Progreso Department Nueva Esparto State Phù Khan Provmce 3 e R ég io n Saha Provmce Pftnmrfq D e p a rtm e n t Ass aba et Guidimakha Sucre State Tucuman Provmce Guatemala Department 4* R ég io n Tacfura State Huekuetenango Department Choiera • Choléra Gorgol B elize Z u h a S ta te Izabal Department Cayo District 5* R ég io n Jalapa Department Africa • Afrique Toledo D istrict Bralma Jutiapa Department Asia «Asie A ngola 6e R eg io n Bolivia • Bolivie Petén Department Afghanistan Bengo Provmce Trarza Bern Department Quetzahenango Department Badakhshan Provmce Benguela Provmce Mn^amhigiir Chuqutsaca Department Quuhd Department Baghlan Province Huambo Provmce M onica Provmce Cochabamba Department RctaJhuleu Department Balkh Provmce Huila Provmce Sussundenga District El Alto Department Sacatepéquez Department Helmand Provmce Kuando-Kubango Province M aputo Provmce La Paz Department San Marcos Department Herat Provmce Kunene Provmce Maputo City Oruro Department Santa Rosa Department Kabul Provmce Kivanza-Norte Provmce Nampula Provmce Poiosi Department Sololà Department K a n d a h a r P ro vm ce Kwanza-Sul Provmce Nampula City Rtberalta Department Suchitepequez Department Kunduz Provmce Luanda Provmce Sofala Provmce Santa Cruz Department Toiomcapan Department Zabul Provmce Luanda, Cap. Beira Cny Tanja Department Zacapa Department M alanga Province Bhutan * Bhoutan Chemba District Tupiza Department G uyana Moogar Dismct Namibe Provmce Gorongosa District Utge Province Brazil • Brésil Region I (Barma/W am) Pemagatsel Dismct Zambezta Provmce Zaïre Province X A c re S ta te Region II (Pomeroon/Supenaam) Phuntsholmg District Inhassunge District Punakha Dismct Benin • Bénin Alagoas State H o n d u ras Mocuba Dismct Amapa State Samdrupjongkhar District Département de l’Atlanaque Namacurra Dismct Amazonas State Choluteca Department Tashtgang Dismct S Pref d’Allada Nicoadala Dismct Cartes Department Thimphu Dismct Cire de Cotonou Bahia State Quehmane District Ccara State E l Paratso Department S. P rêt de Toffo f-aiwhniWa • Cambodge N iger Maranhdo State Francisco M orazau Department Département de l’Atacora Kompong Cham Province M ato Grosso Suae Santa Barbara Department Département de Borgou D iffa Département M atas Gerais State Valle Department Département de Mono Dosso Département Yoro Department P a ra S ta te (Area not specified - Département de Zou M aradi Département Niamey Département Paraiba State Mexico • Mexique Zone non précisée) Burkina Faso Tahoua Département X Parana State Campeche State Imlla • lmi> Boulgou Province TiUabéry Département Pernambuco State Chapas State Andhra Pradesh State B u ru n d i Zinder Département P u n a S ta te Chihuahua State- Hyderabad Dismct Rio de Janeiro State Cohma State Bubanza Provmce Nigeria • Nigeria Vnalfhapamam District Rio Grande do Norte State D istnto federal Bubanza AmmHittfmonr Abuja State Assam State Cibitoke Arrondissement Rondôma State Guanajuato State Delhi Territory Aku/a Jborn State Sergipe State Bujumbura Provmce Guerrero State Gujarat State Anambra State Hidalgo Stoat Bujumbura Arrondissement Bauchi State rrhii- • n.in Haryana State Jalisco State Burun Provmce Bendel State Antofagasta Provmce Karnataka (Mysore) State Makamba Arrondissement Bernardo O ’Higgins Province M extco State Bangalore District Benue State Michoacan State Rumonge Arrondissement Coquimbo Provmce Bidar District B o m o S ta te Morelos State Gitega Provmce Gongola State Los Lagos Provmce Chitradurga District Neuvo Leon State Gitega Arrondissement In to S ta te Osomo Gulburga District Oaxaca State # Cameroun Kaduna State Santiago Province Hassan District Puebla State Tarapaca Provmce Kolar District Provmce de l'Extrême-Nord K a n o S u ite QuerHaro State Katsina State Mandya Dismct Diamare Departement CoUflmhln • Colombie Qumtana Roo State Logoae-et-Chari Département Kxuara State Raichar D ism ct Amazonas Department San Lms Poiosi State Tum kur D ism ct Mayo-Danai Département Logos State Antioquia Department Sonora State Niger State K e ra la Mayo-Sava Departement Atlanaco Department Tabasco State O g u n S ta te M adhya Pradesh State Mayo-Tsanaga Département Bohvar Department Tamauhpas State Provmce Littoral Ortdo State M aharashtra State Boyaca Department Tlaxcala State Moungo Département O yo S ta te Akola Dismct Caldas Department Veracruz State Woun Département Plateau State Amtawan Dismct Caqueta Intendency Yucatan State Province du Nord Rrven State N agpur D ism ct Cauca Department Zacateca State Benoué Département Sokoto State Nandad Dismct Provmce de l’Ouest Cesar Department N icaragua Osmanabad District R w anda Choco Department Haut Nkam Département Boaco Department Parbhaxu Dismct Cyangugu Préfecture Cordoba Department Mxfi Departement Carazo Department Pune Dismct Gisenyi Préfecture Cundmamarca Department Province du Sud Chtnandega Department Sangli District Guajira Department Océan Département Sao Tome and Principe Chontales Department Thane District Huila Department Province du Sud-Ouest S&o T o m é-et-P rin c ip e Esteh Department M anipur State Magdalena Department Manyu Département Lemba Dismct Granada Department Punjab State M eta Department Même Departement Sâo Tome Lion Department Tamil Nadu State rha^ • Tchad Nartno Department Managua Department Anna Dismct Sw aziland Norte de Santander Department Botha Prefecture M asaya Department Chmgleput Dismct (Area not specified - Zone non Puntumayo Department Bet Préfecture Matagalpa Department Madras District précisée) Qumdio Department Bilnne Préfecture Nueva Segovia Department Madurai Dismct Chart Bagutrmt Préfecture Tanzania, United Rep* of Risaralda Department Rio San Juan Department North Arcot Dismct San Andres Intendency Guera Préfecture Tanzanie, Rep.-Unie de Rsvas Department Pudukkottai Dismct San Jose del Guavtare Department Kartem Prefecture Arusha Region P an am a Thanjavur Dismct Lac Préfecture Santa Fe de Bogota Department Dar es Salaam Region Colon Provmce Tiruchirapaih Dismct Logone Occidental Préfecture Santander Department llala Dismct Comarca de San Bias Tiranelvelb Dismct Logone Oriental Prefecture Kmondom Dismct Sucre Department Tolima Department Darien Province Vellore Dismct Njamena Préfecture Kilimanjaro Region VUlipuram Dismct Valle Department Panama Province O u a d d a i P réfectu re M ara Region Uttar Pradesh State Tandjde Préfecture M ajora Region C osta Rica • Pérou West Bengal State Côte d'ivoire Rukwa Region Limon Provmce Amazonas Department Calcutta Tanga Region Ancash Department Departement de l’Ouest San José Provmce Indonesia • Indonésie Man Sous-Préfecmre Apunmac Department Togo Ecuador • Equateur Arequipa Department East Nusa Tenggara Provmce D jibouti Golfe District Azuay Provmce Ayacucho Department Sumba Barat Regency G hana Kioto Dismct Bohvar Provmce Cajamarca Department Lampung Province Accra Region Kozah Dismct Cariar Province Callao Province Lampung Barat Regency Accra District Lacs Dismct Carchi Provmce Cuzco Department North Sulawesi Provmce Greater Accra Dismet Ogou Dismct Chimborazo Province Huancavehca Department Bolaang Mongondow Regency

259 WEEKLY EPIDEMIOLOGICAL RECORD, No. 35, 27 AUGUST 1993 • RELEVE EPIDEMIOLOGIQUE HEBDOMADAIRE, N® 35, 27 AOÛT 1993

Iran, Islamic Rep. of Cameroon • Cameroun Brazil • Brésil Bonfim Mumapio Echarate Dismet Iran, Rép. islamique d* Province de l'Extrême-Nord Atnapa Territory Ganmpo Mutum Mumcipio Kitani Dismet Khuzestan Province Mayo Sava Departement Macapa Mumcipio Maloca Caju Mumapio Maronura Dismet Santa Ana Dismet Mayo Tsanaga Département Amazonas State Colombia • Colombie Ira q Canutama Murucicpio Huanuco Department Al-Basra Govemaratc Gambia • Gambie Anaoqma Department Huamahes Provmce Joào Figueiredo Muxucipio Anon Mumcipio Al-Aobar Govemoratc Upper River Division Manaqum Mumcipio Monzon District Al-Mflthna Govemoratc Taraza Mumapio Leoncto Prado Provmce Guinea * Guinea Manaus Mumcipio Yondo Mumcipio Al-Najef Govemoratc Sigum Région Marna Muniapio Aloma Robles D ism et Al-Qadisiya Govemoratc Arauca Intendenna Aucayacu District M ali Nova Ohnda do Norte Arauca Mumcipio Arbü Govemoratc t Mumcipio , J C. Castcllo District Babil Govemoratc Kayes Région Saravena Mumapio Leonao Prado Dismet Novo Airaô M umapio Boyaca Department Baghdad Govemorate Kita Cercle Tcfe Mumapio Monzon Dismet Chita Mumapio P Luyando Dismet Dohuk Govemorate Kouhkoro Région Urucara Mumapio Dio'üa Cercle Puerta Boyaca Mumapio Rupa Rupa Dismet Dyala Govemoratc Goias State Caguetâ Intendencia Marahon Province Karbala Govemorate Kangaba Cercle Alto Paraiso Mumcipio Kan Cercle Belen de los Andaquies Cholon Dismet Mesan Govemoratc Bêla Visu M um apio Kolokam Cercle Mumcipio Juron Department Nmeveh Govemorate Caiapoma Mumapio Salah El-Din Govemorate El Doncello Mumcipio Chanchantayo Provmce Kenya Damolândia Mumcipio Sulaunauyah Govemorate San Vicente de Caguan Chanchamayo Dismet R ifi Valley Provmce Formosa Mumcipio Tamim Govemorate Municipio Perene District Ëanngo Dismet Goias Velho M umapio Tikar Govemorate Casanare Intendencia San Luis Sevaro Dismet Elgeyo Marakwet Wasit Govemorate Mara Rosa Mumcipio Hato Corozal Mumapio Viloc District Nigeria • Nigéria Nova Cnxas Mumapio Tamara Mumcipio Saapo Provmce Lao People’s Democratic Planalnna Mumcipio Anambra State Yopal Mumapio Covinali Dismet R epublie Bauchi State Sanu Cruz Munidpio Cesar Department Mazaman Dismet République démocratique Bendel State Maranhaô State Valledupar Muaiapio Pangoa Dismet populaire lao Benue State X Barra do Corda Mumcipio Choco Department Pichanali Dismet Savarmakhet Provmce Cross River State Grajau Mumapio Rio Sucio M umapio Rio Negro District Phine Dismet Kaduna State Lago da Pedza Mumapio Cundmamarca Department Rio Tam bo Dismet Ktuara State Montes Altos Mumapio Maya Mumapio Saapo District Malaysia • Malaisie M oto Grosso State Guamare Intendencia Loreto Department Kedah State Lagos State Niger State Antômo Joào Mumapio Miraflores Mumcipio Ucayah Provmce Kubang Pasu District Camapua Mumapio San Juan del Guaviare Contamana Dismet Penang State O g u n S ta te Purus District O ndo S ta te Corgumho Municipio M um apio Timor Laut Dismet M adré de Durs Department O yo S ta te Diamanuno Mumcipio M eta Intendencia S a b a h M anu Provmce Plateau State Jardim Mumapio Cabuyaro Mumapio Tawau Dismet Nova Mannga Mumapio La Pnmavera Mumapio Madré de Dios District S a ra w a k S iiJ qti « S ftu d fln Plaado de Castro Mumapio San Carlo de Guaroa M anu District Simunjan Dismet Territory South of 12° N PoCOne Mumcipio M um apio Tambopata Provmce Népal • Népal Territoire situé au sud Pontes e Lacerda Mumapio Villavicenao Mumapio Inamban Dismet Baitadi Dismet du 12° N Ribas do Rio Pardo Mumapio Vista Hermosa Mumapio Las Piedras District Tambopata Dismet Jhapa Dismet Zaire • Zaire Sidrolündia Mumapio None de Santander Department Puno Department Khatmandu Dismet Territory North of 10° S Smope Mumapio Cucuta Mumapio Terenos Mumapio Tibu Mumapio Sandsa Provmce Tajikistan • Tatljilntfan Temioire situé au nord San Juan del Oro District M tnas Gerais State Cucuta Intendencia du 10° S. San Roman Dismet V iet N am Bonfînopolis Mumapio Toledo Mumapio Putumayo Intendencia Vilcabamba Dismet Btnh Trt Titien Provmce Franasco Dumont Mumapio San M artin Department Nghxa Bmh Province America • Amérique Mirabela Mumcipio Puerto Asis M um apio Huallaga Provmce Phü Khành Provmce Bolivia • Bolivie Paracatu Mumcipio S a n ta n d e r D e p a rtm e n t Bucaramanga M um apio Bella vis ta District Beni Department Unai Mumapio Saposoa Disma Europe P a ra S ta te Cimitarra Mumapio BaJlmaa Province £1 Carmen M um apio Lamas Provmce U kraine lieriez Province Alenquer M um apio Almeinm Muniapio Vtchada Department M anupole Cochabamba Department Puerto Trujillo Mumapio Tabalazos Dismet Nicolaev Region Ayopayo Province Alramira MuniÇipiO M onacal Caceres Provmce Odesskaya Région Carrasco Province Araguaia Mumapio FnmHnp • Fqtmtwir Pampamlla D istfia Chapare Province Faro Mumapio Morona-Sanaago Provmce San M aron Province Oceania • Océanie La Pas Department M onte Alegre M um apio Napo Provmce Juan Guerra Dism et Larecaja Provmce Prainha Mumcipio Humayacu Dismet T uvalu Sauce Dismet Munllo Province Rendençào Mumapio Nanumea Island Pastaza Provmce Nuitao Island N or Yungas Province Sào Domingos do Capun Sucumbws Provmce La Polvora District Quinuni Province M um apio Zamora-Chmchipe Provmce Sud Yungas Province Sen. Jose Porfino Mumapio Peru • Pérou Yellow fever • Fièvre jaune Santa Crus Department Tailandia Mumapio Uchiza Disma Andrés Ibafiez Province Tucurui Mumapio Ayacucho Department Ucayah Department Afnca * Afrique Cordillera Province Xinguara Mumapio Huanta Province Coronel Portülo Provmce San José Sanfillana DlStüCt Florida Province Rondoma State Callena District A ngola Cusco Department Gutierrez Province Cacoal Mumapio P a d re A b a d P ro vin ce Bengo Province La Convenaon Province Luanda Provmce IchDo Province Roravna Territory Padre Abad District

Influenza Grippe M adagascar (2 August 1993).* The proportion of cases of M adagascar (2 août 1993).' La proportion des cas de syndrome influenza-like illness among patients in health centres and grippal parmi les malades vus dans les centres de santé et les hôpi­ hospitals participating in influenza surveillance increased in taux participant à la surveillance de la grippe s’est accrue pendant la the second half of July. One children’s hospital reported seconde quinzaine de juillet. Un hôpital pédiatrique a signalé des symptoms of influenza in 31 out of 73 patients. Virus isolation symptômes de grippe chez 31 patients sur 73. L’isolement des virus is in progress. During the previous period of influenza-like est en cours. Pendant la période de syndrome grippal précédente, en illness, in April, influenza A(H3N2) viruses were isolated. avril, des virus A(H3N2) ont été isolés. 1 See No 27, 1993, p. 200 ‘ Voir N“ 27, 1993, p 200

Notifications received from 20 to 26 August 1993 Notifications reçues du 20 au 26 août 1993 C - cases, D - deaths,... - data not yet received, C - cas, D - dices, - - données non encore disponibles, î - imported, r - revised, s - suspect i - importé, r - révisé, s - suspect

Choiera • Choléra America • Amérique Yellow fever ■ Fièvre jeune C D Afnca • Afrique Brazil - Brésil 27 VI-5.VIII America * Amérique C D ...... 8 548 69 C D Malawi 1,1-30. VI* Canada 17.VI-2.VII Brazil - Brésil 30.IV-24.V ...... 325 12 ...... 2i 0 Maranhaô State El Salvador 1-21. VIII Barra do Corda M um apio...... 7 4 ...... 81 0 1 Additional cases/deaths f o r t h i s period - Cas/ décès supplémentaires pour cette période Asia • Asie C D fîhina — rh in a V-VI ...... 79

260